Q1. If the pt says he quit smoking 3 months back Do u congratulate him and say thats very good Q2. If pt says he does not smoke Do u say glad to hear that I am confused because on one hand u have to be non judgmental so can u say these things?

In psychiatric patients who seem convinced that their apparent delusions or hallucinations are real (ex. a patient complaining of anxiety who believes that his co-workers are conniving against him or that everyone is observing him 24/7 to obtain something against him), how do explain to the...

I am used of saying these questions in this way, Do have fever? Do you feel chills? Any headache? Do you have any chest pain? Any difficult with breathing? Cough? Any problems with sleeping? How about urination? Any changes with your bowel? Do you have diarrhea? How about constipation? Any...

Hello, I am an IMG I did CS in 2011 and I failed the reason of my failure is lack of communication skills So can you explain in detail why did I fail? I forgot to call 3 patients by their name I never did counseling for alcohol smoking or sex practice I told the grandmother of a...

I want to know if this introduction is good or not. "Hello, Mrs. Smith?" "Good morning, how are you today?" If SP says "Not feeling good", then say: "I am sorry to hear that. My name is Dr. XYZ. I will be your physician today, and I am here to do my best to take care of you." Hand shake...

should we summarize the case before PE,is it ok to summarize only presenting complaint points or the complete history?

Hi Everybody I'm Leonel from Argentina, I'd like to take clinical skills in January 7, but my spoken in english no is so good. Please somebody can give some recommendation Thanks

I jus took my exam yesterday. Do we have to counsel in every case? bcoz in many of the cases I couldnt find anything to counsel about

how to counsel a pt briefly and impressive if pt has history of all 3 smoking, alcohol n unprotected sex with multiple partners, as the time is limited in encounter? how to save time? plz reply replies will be appreciated... thanx in advance.

Has anybody done this to explain to them what is going on?

Hello doctors. I was wondering if I missed two closures due to running out of time in the encounter, along with forgetting to write investigations in one case. How fatal xould this affect my passing? Has anyone been able to pass with such mistakes? Plz give me your feedback

I was wondering: When is the best time to summarise during the encounter? is it better if I do it before doing PE, or before closure and counseling?

How we have to council about advance directive to a terminally ill patient , eg, terminal cancer pt ??

Can anybody please tell me the bullet points to counsel an HIV pt and what statement should we use to tell his or her partner about his HIV status, esp if he or she is used to seek a new sexual partner after a short period of time ? :confused:

Just a quick question- How do you ask for HbA1c in a diabetic patient? Is there a lay man term for it?

How do we do this ? What do we say ? Do we help them ? Do we adjust the table ? Are the beds adjusted ? Also I know we help them back up but how do we do it ? Can some one please post a video, I cant find one, or tell me how please ? Thank you

I'm sure during the real exam I may blank on the DDx and hopefully it will come to me while I'm typing the notes. So if we were to tell the pt the wrong dx and work up, will we lose marks for it?

Would 3.5 minutes be good. also do patients have 2 things to counsel about or 1 thing.

SP Communication Finalized plans for the next steps [example please] can you give an example of this please ?

What would be a good opening greeting in a rape case? What about: "Hello, my nurse told me that you were the victim of a rape. I'm really sorry to hear that. My name is Dr. XY, I'l do everything I can to make you feel better. I'd like to ask you some Qs and do a PE, is that okay? I want to...